1. Improvising a Posterior Nasal Pack with Equipment in a Basic First Aid Kit 
Allison K. Royer, MD, Mark C. Royer, MD 
Wilderness & Environmental Medicine 
Volume 27, Issue 3, Pages (September 2016)
DOI: /j.wem
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2. Figure 1
Anatomical model used for nasal packing training (NC, right nasal cavity; F, frontal sinus; S, sphenoid sinus; MT, middle turbinate; IT, inferior turbinate; MA, maxillary antrum; NP, nasopharynx; ET, Eustachian tube opening). Arrow shows direction of packing insertion.
Wilderness & Environmental Medicine  , DOI: ( /j.wem )
Copyright © 2016 Wilderness Medical Society Terms and Conditions

3. Figure 2 Basic first aid kit contents.
Wilderness & Environmental Medicine  , DOI: ( /j.wem )
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4. Figure 3
Preparation of posterior nasal pack from first aid supplies. Three Q-tips are fashioned into a 7.5 cm length rigid support (A,B). Eight standard adhesive bandages are used to secure the Q-tips and increase diameter (C). A nonadherent dressing is wrapped around the rigid support (D) and triple antibiotic added along the length of the packing (E). The completed improvised nasal pack is shown (F).
Wilderness & Environmental Medicine  , DOI: ( /j.wem )
Copyright © 2016 Wilderness Medical Society Terms and Conditions

5. Figure 4
The posterior nasal pack prepared from a basic first aid kit placed in the training model (A) compared with the commercially available posterior nasal pack placed in the same model (B) (not filled with air to demonstrate a pack similar to the Merocel).
Wilderness & Environmental Medicine  , DOI: ( /j.wem )
Copyright © 2016 Wilderness Medical Society Terms and Conditions